PART A

EMPLOYEE PRE-EMPLOYMENT DECLARATION OF HEALTH FORM

(TO BE COMPLETED IN ENGLISH ONLY AND UPLOADED ON THE CANDIDATE PORTAL)

IMPORTANT INFORMATION PLEASE READ CAREFULLY

1. MANDATORY UAE GOVERNMENT MEDICAL EXAMINATION

Medical tests form part of the U.A.E government mandatory residency visa process. The following
medical tests will be completed as a part of the UAE residence visa / work permit process:
Blood test for HIV
Chest x-ray for tuberculosis (TB)
Blood test for VDRL (Syphilis)*
Blood test for Hepatitis B surface Antigen*

A UAE residence visa / work permit will not be issued for:

Positive HIV test result

Signs of active TB or scarring from previous TB on chest x-ray

Untreated syphilis*

Positive Hepatitis B surface antigen*

* Certain categories of staff including but not limited to food handlers (e.g. Cabin Crews, Cabin
Service Agents and Catering staff) and health care workers.

WE RECOMMEND THAT YOU UNDERTAKE A CHEST X-RAY, TESTING FOR HIV, HEPATITIS B
AND VDRL (if in applicable job category) PRIOR TO JOINING OR LEAVING CURRENT
EMPLOYMENT AS FAILURE TO MEET U.A.E VISA REQUIREMENTS WILL LEAD TO THE
TERMINATION OF YOUR CONTRACT AND REPATRIATION AT YOUR OWN EXPENSE.

ADDITIONAL INFORMATION RELATED TO JOB SPECIFIC COMPANY MEDICAL

TESTS/REQUIREMENTS IS INCLUDED WITH YOUR JOINING INFORMATION.

2. PREEXISTING MEDICAL CONDITION

Pre-existing medical conditions (defined below), whether identified on joining or confirmed during
employment, are excluded from the Company Medical Insurance Scheme for a period of two years
from date of entry into the scheme.
A pre-existing medical condition is defined as any disease, illness or injury for which:
You have received medication, advice or treatment; or
You have experienced symptoms, or have become aware or have knowledge of, whether the
condition has been diagnosed or not before the start of your current continuous period of
cover
A waiting period of two years from the date of joining the scheme will apply to these
conditions before they are covered under the Company Medical Insurance Scheme. The company
will only reimburse costs for treatment of pre-existing conditions undertaken after the waiting
period has expired. Following the waiting period the condition/s will be covered within the terms of
the policy and within the policy sub-limit specified.

If you are aware of any pre-existing medical conditions which could be excluded, regardless of
whether Emirates has issued a waiver/exclusion for such condition, it is recommended that you
continue your existing medical insurance cover.

I confirm that I have read and understood the information above relating to;
Mandatory U.A.E. Government Medical Examination
Pre Existing Medical Condition
Name:. Signature: .
Date:

Form Review Date: 16 January 2013 1

 EMPLOYEE PRE-EMPLOYMENT
LOCAL/OVERSEAS CABIN CREW/
CABIN SERVICE AGENT (CSA) RECRUITS
(TO BE COMPLETED IN ENGLISH ONLY AND UPLOADED ON THE CANDIDATE PORTAL)

IMPORTANT INFORMATION PLEASE READ CAREFULLY BEFORE COMPLETING

THE ATTACHED DECLARATION

The medical is a pre-requisite for employment within the Emirates Group and is conducted by an Aviation Medical
Examiner at the company clinic on joining. If for any reason you do not meet the minimum standards, you will not be
employed with the Emirates Group.
Emirates Cabin Crew additionally are required to undertake a full and extensive medical, in order to be issued with a
Medical Certificate by the General Civil Aviation Authority (GCAA), the aviation regulatory authority of the UAE.
In order to ensure that you are fully prepared for the medical examination, we have prepared the following information to
ensure you meet the medical requirements. The table below summarises the relevant attachments and describes the
action you should take on each section. For ease of reference the table is split into three sections (medical, vaccination
and dental).
Note: Emirates will not reimburse the cost of your medical, vaccinations and dental checks or any treatment that may be
required to satisfy these standards.
All original test results & reports to be brought with you when you travel to Dubai (If applicable).
Appendix Title Action Required
Number
MEDICAL
1 Medical Standards Appendix 1. You should discuss the contents of this section with your
Required for Emirates family doctor and ensure that you can meet the minimum requirements.
Cabin staff
2 Medical History Appendix 2 should be completed by you truthfully, signed and uploaded
on the candidate portal.

2 Height, Weight and Body
Mass Index (BMI)
2 HIV/AIDS, VDRL (test for
Syphilis), Hepatitis B
surface Ag, Hepatitis C
Antibody and CXR for
signs of TB scarring
2 Haemoglobin
2 Pap or Cervical Smear
Test FEMALES ONLY
VACCINATIONS
3 Vaccination Certificate
DENTAL
4 Expected Standards for
Dental Health
You will need to submit a recent (within the last month) height and weight
to ensure that you fall within the minimum and maximum height, weight
and BMI restrictions.
These are checked by the local authorities on entry in Dubai and under no
circumstances will they issue resident visa to applicants who test positive
to HIV, untreated syphilis or if there is scarring on a Chest X-ray from TB
or there is a positive Hepatitis B surface antigen or Hepatitis C Antibody.
You may wish to undertake such tests before resigning from your current
employment to be more confident of the results when coming to Dubai.
Anaemia can lead to difficulty working at cabin altitudes. Haemoglobin of
less than 10g/dL is unacceptable. This will be tested in Dubai on your
arrival.
Report of cervical smear taken within the past 3 years is required if you
have ever been sexually active and should be given to the medical team
at the time of the employment medical in Dubai. Evidence of having
undergone the test such as a doctors letter is acceptable until a report
can be obtained. You may choose not to undergo this test on the proviso
that Emirates will not cover you for any related problems in the future. The
PAP test is NOT required if you are a virgin.
This should be completed preferably by your family doctor or nurse. If
these vaccinations are incomplete, the cost of having these vaccinations
when you join the company will be deducted from your salary.
You should read through this information and ensure that you make your
dentist aware of it. Dental braces of any kind are not permitted.

4 Certificate of Dental This should be completed by your dentist and uploaded on the candidate
Health portal. Pre existing dental health conditions are excluded from coverage
under the medical benefits scheme.

Updated 4 Mar 13 2
 APPENDIX1
CAT C SUMMARY OF MEDICAL STANDARDS

Cabin Staff must meet Emirates requirements and additionally for Cabin Crew the Cabin Crew Medical
Standards of the GCAA. They are summarised below:
Acceptable:
Arm reach
Minimum arm reach of 212 cm (on tip toes). DOES NOT APPLY TO CSA RECRUITS.
Between BMI 16-18: Permissible if proportionate to the body frame
Body Mass Index Between BMI 25-28: Permissible if the abdominal circumference is within non-obese limits for
(weight in the gender and ethnicity.
kg/height in m) Unacceptable
BMI <16 or>28
Unacceptable:
Musculoskeletal -Chronic or recurrent back pain resulting in sick leave or time off work
-Scoliosis >30 degrees
Acceptable Conditions:
Skin
-Well controlled Eczema; Psoriasis and or Acne.
Acceptable
if:
-Distant visual acuity with or without correction is 6/12 or better in the better eye and
binocular vision is 6/9 or better
-Near visual acuity with or without correction is at least N5 at 30-50cm and N14 at 100cm
(DOES NOT APPLY TO CSA
RECRUITS) If visual correction is
required:
-If using contact lenses, they need to be monocular, not tinted and suitable for long-
Vision
term wear in the dry aircraft environment
-Spectacles need to be within the grooming standards i.e. must be conservative, business-
like and moderate in size and design; the only acceptable frame colours are gold, silver,
brown or tortoise shell but spectacles may also be frameless.
-Is using correction, a spare of spectacles is required whether or not contact lens are used
normally
.
Soft permeable lenses are preferable and hard lenses (e.g. for keratoconus) are not suitable
Unacceptable
:
Acceptable
-Visual if: field
Laser Eye surgery -defects
With a full report from an ophthalmologist showing stable vision; with no complications; no
active treatment andmonocular
-Functionally within the vision standards
vision
Acceptable if :
-Abnormal
-Well binocular
controlled allergic conjunctivitis
Ophthalmology function
Unacceptable:
-Significant eye pathology
-Any progressive conditions
Unacceptable:
-Unexplained or severe Anaemia (Haemoglobin < 10g/dl)
Haematology
-Significant localised and generalised enlargement of the lymphatic glands and diseases of
the blood that are likely to affect the safe exercise of cabin duties
Unacceptable:
History or diagnosis of:
-Any significant functional or structural abnormality of the circulatory system
-Angina pectoris or Myocardial Infarction
-Coronary heart disease that has been treated or, if untreated, that has been symptomatic or
Cardiovascular
clinically significant;
-Permanent cardiac pacemaker;
-Heart replacement
-Any abnormality of the heart, congenital or acquired, which is likely to interfere with the safe
exercise of cabin duties
Unacceptable:
-Untreated or un-investigated recurrent BP readings > 140/ 90
Blood Pressure
- Acceptable:
Hypertension well controlled on aviation approved medications
Acceptable:
ENT -Well controlled allergic rhinitis or sinusitis on aviation approved medications

Updated 4 Mar 13 3
 APPENDIX1
CAT C SUMMARY OF MEDICAL STANDARDS

Unacceptable:
-Recurrent otitis media or tympanic membrane (eardrum) perforations
-Otosclerosis
-Menieres disease
-Spontaneous or positional nystagmus
-Cholesteatoma
-Perilymph fistula
-Severe motion sickness
-Any ear disease or condition that may cause vertigo or a disturbance of speech or
equilibrium.
-Severe hearing loss
Pure tone audiometric test. Unaided, with thresholds no worse than:

500 1,000 2,000 3,000 4,000 8,000

Frequency (Hz)

35 35 35 50 50 50
Hearing Worst Ear (dB)

Acceptable Alternative Tests:

If hearing loss is greater than above, acceptable if:
a) Hearing performance in each ear against background noise simulating flight desk noise
is normal for speech and beacon signals
b) Can hear conversational voice in a quiet room with back turned to examiner at a distance
of 2 meters using both ears

Unacceptable:
Speech Speech defects
Stuttering

Acceptable:
-Well controlled asthma
Respiratory Unacceptable:
-Any acute disability of the lungs or any active disease of the structure of the lungs, chest or
lung cavities (TB see infectious diseases)

Unacceptable:
Sleep disorders Any history or condition affecting sleep including obstructive sleep apnoea, restless leg
syndrome, or the repeated use of sleep medications etc

Unacceptable:
Irritable Bowel Disease except if well controlled on aviation approved medications or causing
minimal symptoms
Gastroenterology Inflammatory bowel disease
Untreated Hernias
Gallstones
Any disease with significant impairment of function of the gastrointestinal tract

Unacceptable:
Renal
History of current and/or recurrent renal stones

Unacceptable:
Gynaecology -Significant Dysmenorrhoea (menstrual pain)
-Untreated high-grade PAP abnormalities such as CIN II or higher.

Unacceptable:
Diabetes or impairment of glucose regulation and any uncontrolled endocrine disorders such
Endocrine
as thyroid, pituitary, ovary or adrenal gland disease

Unacceptable:
Epilepsy
Neurology Recurrent or disabling Migraines
Unexplained disturbance of consciousness
Unexplained transient loss of control of nervous system function(s)

Updated 4 Mar 13 4
 APPENDIX4
CERTIFICATE OFDENTAL HEALTH
(TO BE COMPLETED IN ENGLISH ONLY AND UPLOADED ON THE CANDIDATE PORTAL)

Any progressive conditions

Any disease of the nervous system abnormality that may jeopardise flight safety
Recurrent vaso-vagal (fainting) attacks

Advisable to EK clinic
Any history of depression whether isolated, recurrent or requiring medication will need a full
doctors report to be sent to EK clinic
Unacceptable:
History or diagnosis of:
Psychiatry -Recurrent Depression
-Bipolar disorder
-Anxiety including claustrophobia
-Any personality disorder,
-Psychosis
-Any psychiatric abnormality, or neurosis of a significant degree that may affect flight safety.
Unacceptable:
-History or diagnosis of Chemical/ Substance Misuse Disorder. Substance includes
alcohol and other drugs (i.e.Sedatives and Hypnotics, Anxiolytics, Marijuana, Cocaine,
Opioids, Amphetamines, Hallucinogens, PCP and /or other psychoactive drugs or
Substance Use
chemicals).
disorder/Misuse
-The applicant will be subject to initial and random drug screening while employed by
Emirates as mandated by the GCAA. Candidates should also avoid taking any sleeping
tablets or cold remedies in the week prior to arrival in Dubai for commencement of
employment.
Unacceptable:
-Untreated or active Tuberculosis (TB). It is not possible to obtain a UAE visa if there is
scarring seen on a chest X-Ray from previously treated or active TB
-Cases of latent (inactive) TB diagnosed by positive skin test, with normal chest X-Ray,
require 6 months of drug treatment as per WHO protocol. Emirates will accept once a
medical certificate is provided certifying that treatment has been completed.
Infectious diseases
-Salmonella or Campylobacter carrier
-HIV positive
-Hepatitis B surface antigen positive
-Hepatitis C Antibody positive
-Positive VDRL or Untreated Syphilis
-Any infection that may interfere with flight safety
Unacceptable:
Malignancy Any recurrent or ongoing malignancies
Advisable to declare: Prior history of malignancy including any skin cancers
Advisable to EK Clinic: Any medications or non prescribed substances taken for more than
Any medications
one week in the past two months.
For safety reasons, candidates need to e able to quickly and effectively read medications to
Dyslexia be dispensed on-board. Candidates need to supply a report stating such from medical
professional.
Any other
Advisable to EK Clinic: Especially those which have occurred in relation to flying/travelling.
disorders

Form Review Date: 8 May 2012 5

4
5
 PART B Page 1
EMPLOYEE MEDICAL HISTORY DECLARATION
(TO BE COMPLETED IN ENGLISH ONLY AND UPLOADED ON THE CANDIDATE PORTAL)

Full Name: Application Number: Sex:

Date of Birth: Age:
Nationality:
Email ID: Marital Status:

Do you have or have you ever had:
1. Frequent or severe headaches or migraines
No Yes For Yes provide details on the date of onset of the
condition, diagnosis, past or current treatment details
and the current status and/ or relevant available
medical reports

2. Head injury or concussion

3. Dizziness, fainting or blackouts

4. Fits, convulsions or epilepsy

5.Depression, anxiety, bipolar or any other

mental health disorder or illness
6. Eating disorders e.g. anorexia or bulimia

7. Any tropical diseases e.g. Malaria or

Dengue fever
8. Tuberculosis (TB)

9. Anaemia, sickle cell disease or any other

blood disorders
10. Positive HIV test

11. Positive Hepatitis B surface antigen

(HBsAg) test
12. Positive Hepatitis C antibodies test
(Anti HCV)
13. Positive VDRL (test for Syphilis) or
untreated syphilis
14. Asthma, Hay fever or any other respiratory
problems
15. Any history of allergies to medications,
food or vaccinations. If yes:
a. Do you have a history of anaphylaxis

b. Have you ever required hospitalisation for

reasons of allergy
c. Do you require ongoing carriage of Epipens

16. Heart complaints of any kind e.g. heart

attack, angina, irregular heart beats, heart
surgery, heart disease
17. High blood pressure- If you have had a
recent blood pressure reading , please provide
result
18. Coughing or vomiting blood

19. Stomach pain or bowel problems other

than occasional indigestion e.g. ulcers,
haemorrhoids, acid reflux, etc.
Form Review Date: 6 October 2013 6
 PART B Page 2

EMPLOYEE MEDICAL HISTORY DECLARATION (continued)

Do you have or have you ever had:
20. Passing blood in urine or faeces
No Yes For Yes provide details on the date of onset of
the condition, diagnosis, past or current treatment
details and the current status and/ or available
relevant medical reports

21. Kidney or bladder diseases e.g. kidney

stones
22. Diabetes, impaired glucose regulation,
thyroid disease or any other endocrine
disorders like increased prolactin levels, etc.
23. Raised cholesterol/abnormal lipid profile

24. Sleep problems lasting for more than a few

days or snoring problems (obstructive sleep
apnoea)
25. Corrective eye surgery or eye problems,
other than wearing glasses or contact lenses
26. Nose, Throat, Speech disorders or Sinus
problems
27. Ear or hearing problems or hearing aids

28. Skin diseases

29. Back trouble e.g. lumbago, sciatica,

slipped disc or significant scoliosis
30. Rheumatism, Arthritis, joint or limb
problems
31. Any Surgical operations including cosmetic
procedures
32. Growths, tumours or malignancies

33. If Female; any cervical (PAP) smear issues

Date and results of the last Pap smear test
if undertaken
34. If female, any gynaecological problems

35. Any serious injury, e.g. fracture or

dislocation or any ongoing problems
36. Any admissions to the hospital

37. Any learning disabilities e.g. dyslexia

38. Any illness not mentioned above

39. List any medications/food supplements/

diet pills/herbal treatments or other
substances that you are currently taking with
brief on medical condition
40. Any illness that caused you to take time off
work for a period longer than 20 days in a
single year
41. Have you ever been found medically unfit
for military service or insurance?
42. Have you ever been charged with an
offence relating to drugs or alcohol?

Form Review Date: 6 October 2013 7

 PART B Page 3

EMPLOYEE MEDICAL HISTORY DECLARATION (continued)

Do you have or have you ever had: No Yes For Yes provide details on the date of onset of the
condition, diagnosis, past or current treatment details
and the current status and/ or relevant available
medical reports
43. Family history e.g. heart disease, diabetes,
kidney disease, cancers, glaucoma, epilepsy,
tuberculosis, depression/anxiety or inheritable
diseases or sudden unexplained death
44. Alcohol; Do you drink & how much
per week? (state units)
45. Tobacco: Do you smoke (including pipes,
cigars, sheesha) and how much per day?
46. Please provide your height and weight and Height= Weight= BMI =
calculate your BMI
Weight in kilograms divided by (height x height in
(Do not complete if medical examination is requested)
metres): e.g. 65kg / (1.68x1.68) = BMI 23
47. Declare if currently pregnant in order for us
to provide you details on your Medical Benefits
and HR Policy

I hereby declare that I have completed the questions above accurately and that I have not withheld any relevant
information or made any misleading statement. I understand that if I have made any false or misleading statements in
connection with this application, or fail to provide supporting medical information where required, the company may, at
its discretion withdraw my offer of employment or terminate my contract of employment. In addition failure to disclose
pre-existing medical conditions will, in certain circumstances, invalidate insurance policies such as medical insurance,
life and personal accident insurance provided by the company.

I authorize Emirates Medical Services and Emirates Medical Benefits Administration to obtain the medical records,
reports and test results associated with my pre-employment medical declaration, either in original hard-copy form or
via access to electronic data systems, as may be required to determine my medical suitability for participation in the
Emirates medical insurance programme, to determine my medical suitability for proposed employment and in
connection with any future medical care I may obtain from Emirates Medical Services. The information contained on
the form will be held in confidence by Emirates Medical Services and Medical Benefits Administration and used only
for this purpose; however in the event of any doubt as to whether my medical status is compatible with the position I
have been offered, I hereby consent to the release of summary details which will be provided to the recruitment
specialist dealing with my application and to my prospective line manager.

Name (Block Capitals): ........... Date: ............................................

Signature: ................................................................

NOTE: This form is to be countersigned by the physician who will be performing the medical examination
(where applicable).

Name (Block Capitals): ........... Date: ............................................

Signature: ......................................................

Form Review Date: 6 October 2013 8

 EMPLOYEE VACCINATION CERTIFICATE
(TO BE COMPLETED IN ENGLISH ONLY AND UPLOADED ON THE CANDIDATE PORTAL)

Full Name:
Application Number: Sex:

Nationality: Date of birth: Age:

PLEASE MAKE CERTAIN THAT ALL THE REQUIRED VACCINATIONS ARE OBTAINED AND THAT THE
CERTIFICATE IS SIGNED IN ENGLISH ONLY

The following vaccinations except BCG (+/- PPD testing) are strongly recommended. Yellow Fever is
mandatory. It is important that you are immunised against various infectious diseases common in countries
you may be flying to in the course of your duties. Please ensure that these vaccinations are carried out
before you travel to Dubai.

The recommended Emirates vaccination schedule which should be completed prior to joining the
Emirates Group is given below. Please bring ALL previous vaccination records with you for your
medical examination.
Vaccination Date of Dose/s Blood Results
*PPD (please see footnote) Negative
Positive
*BCG (please see footnote)
Varicella (X 2 Doses) 1st 2nd Immunity
Or Yes
Immunity Screen No
MMR (Measles, Mumps, Rubella) 1st 2nd Immunity
Or Yes
Immunity Screen No
Polio (Last dose within 10 yrs)
Diphtheria (Last dose within 10 yrs)
Tetanus (Last dose within 10 yrs)
Typhoid (Last dose within 3 yrs)
Hepatitis A 1st 2nd Immunity
Yes
No
st nd rd
Hepatitis B 1 2 3 4th Immunity
Yes
No
st nd rd
Twinrix (Hep A+B) 1 2 3 4th Immunity
Yes
No
Yellow Fever (Last dose within 10 yrs)
Meningococcal ACWY (Last dose) Menactra (MCV4)
(Please indicate which vaccine has been given by ticking in the Menveo (MCV4)
box in the final column) Mencevax (MPSV4)
Menomune (MPSV4)
Other (write below)
Others
*PPD and BCG are not mandatory however please record these if they have been taken.

Vaccinations not administered because (please give reasons)

................................................................................................................................................
...........................................................................................................................................................................................
......................................................................................................................................................................................

Name (Block Capitals): ...

Signature and stamp: .............................................. Date: ..........................

Form Review Date: 6 October 2013 9

 EMPLOYEE CERTIFICATE OF DENTAL HEALTH
(CC grades, EK.06 to EK.08 and equivalent grades)
(TO BE COMPLETED BY THE DENTIST IN ENGLISH FOR THE EMPLOYEE ONLY)

Full Name:
Application Number: Sex:

Nationality: Date of birth: Age:

Dental Assessment after Dental X-Rays

CODE: X Missing, F - Filled. CR Crown. BR Bridge. O Carious.

RIGHT 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8 LEFT

Dental Standards Expected:

Teeth should be free from caries/cavities/decay and all necessary fillings completed.
Roots etc. should have been removed and sockets clean, uninfected and healthy.
Temporary fillings are not acceptable.
Gingiva and oral cavity to be free from infection or disease.
Teeth should be free from plaque, scaled and polished. Good level of periodontal health.
Crown and bridgework, if present, should be in good condition.
Dentures, if applicable, should be in good condition and fit properly.
Root canal treatment should be complete and satisfactory.
Wisdom teeth which are normally symptom-free (i.e. which do not compromise adjacent teeth or
Do not create recurrent infections) do NOT require removal.
Gaps / missing teeth do not need to be replaced by bridges etc. If posterior and unnoticeable.
Dentition should be of a cosmetically acceptable appearance.

Teeth and Gingiva: --------------------------------------------------------------------------------------------------------------------

General Appearance:----------------------------------------------------------------------------------- -------------------------------

Treatment recommended: ---------------------------------------------------------------------------------------------------------

Treatment carried out: ------------------------------------------------------------------------------------------------------------

Dentally fit and complies with standards above: Yes/No (Encircle one)

Dentist Signature: Stamp:

Name in Capitals: : Date:

Notes to the new joiners:

1. Cabin Crews: Complete the certificate of dental health before joining and upload on the portal.

2. EK.06 to EK.08 and equivalent grades: Complete the certificate of dental health before joining or
within 60 days from the joining date.
Dental assessment for certificate of dental health and completion of recommended treatment
to reach dental fitness is at the employee expense and may be completed either locally in the
UAE or overseas with the dentist of your choice.
Upload the documents on the candidate (new joiner portal) or submit the documents to Medical
Benefits (MB) on joining (where candidate portal is inaccessible) as follows:
nd
Medical Benefits counter at the Employee Service Centre (2 Floor, EGHQ)
th
OR 6 Floor, Human Resources (Remuneration & Planning) EGHQ
OR Email to LiaisonOfficer-Medical@emirates.com
On review of your documents the record will be updated in the medical benefits system
(EMBS). Failure to follow the process above will result in dental claims being declined.

Form Review Date: 6 October 2013 10